Non-circumferential membranous resection of the trachea for paraganglioma: A case report
•Although rare, paraganglioma should be included in the differential diagnosis of an intra-thoracic membranous tracheal mass.•Upfront non-circumferential surgical resection of paraganglioma may be indicated.•Airway reconstruction can be performed using a latissimus dorsi flap.•Extra-corporeal membra...
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| Published in: | International journal of surgery case reports Vol. 51; pp. 288 - 291 |
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| Language: | English |
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| Abstract | •Although rare, paraganglioma should be included in the differential diagnosis of an intra-thoracic membranous tracheal mass.•Upfront non-circumferential surgical resection of paraganglioma may be indicated.•Airway reconstruction can be performed using a latissimus dorsi flap.•Extra-corporeal membrane oxygenation may be useful for tracheal repair.
Paraganglioma is a rare neuroendocrine tumor and may sometimes be located in the membranous part of the trachea.
We report the case of a 52-year-old man presenting a paraganglioma just above the carina with obstructive symptoms. The patient successfully underwent a non-circumferential tracheal membranous resection, followed by latissimus dorsi muscle flap repair, under peripheral extra-corporeal membrane oxygenation (ECMO).
Complex carinal resection can be avoided for tracheal membranous tumors and replaced with non-circumferential resection and direct reconstruction with a muscle flap. In addition, ECMO support may be used for airway resection and reconstruction.
Tracheal membranous tumors can be managed without circumferential resection or direct anastomosis. |
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| AbstractList | Paraganglioma is a rare neuroendocrine tumor and may sometimes be located in the membranous part of the trachea.INTRODUCTIONParaganglioma is a rare neuroendocrine tumor and may sometimes be located in the membranous part of the trachea.We report the case of a 52-year-old man presenting a paraganglioma just above the carina with obstructive symptoms. The patient successfully underwent a non-circumferential tracheal membranous resection, followed by latissimus dorsi muscle flap repair, under peripheral extra-corporeal membrane oxygenation (ECMO).PRESENTATION OF CASEWe report the case of a 52-year-old man presenting a paraganglioma just above the carina with obstructive symptoms. The patient successfully underwent a non-circumferential tracheal membranous resection, followed by latissimus dorsi muscle flap repair, under peripheral extra-corporeal membrane oxygenation (ECMO).Complex carinal resection can be avoided for tracheal membranous tumors and replaced with non-circumferential resection and direct reconstruction with a muscle flap. In addition, ECMO support may be used for airway resection and reconstruction.DISCUSSIONComplex carinal resection can be avoided for tracheal membranous tumors and replaced with non-circumferential resection and direct reconstruction with a muscle flap. In addition, ECMO support may be used for airway resection and reconstruction.Tracheal membranous tumors can be managed without circumferential resection or direct anastomosis.CONCLUSIONTracheal membranous tumors can be managed without circumferential resection or direct anastomosis. Paraganglioma is a rare neuroendocrine tumor and may sometimes be located in the membranous part of the trachea. We report the case of a 52-year-old man presenting a paraganglioma just above the carina with obstructive symptoms. The patient successfully underwent a non-circumferential tracheal membranous resection, followed by latissimus dorsi muscle flap repair, under peripheral extra-corporeal membrane oxygenation (ECMO). Complex carinal resection can be avoided for tracheal membranous tumors and replaced with non-circumferential resection and direct reconstruction with a muscle flap. In addition, ECMO support may be used for airway resection and reconstruction. Tracheal membranous tumors can be managed without circumferential resection or direct anastomosis. • Although rare, paraganglioma should be included in the differential diagnosis of an intra-thoracic membranous tracheal mass. • Upfront non-circumferential surgical resection of paraganglioma may be indicated. • Airway reconstruction can be performed using a latissimus dorsi flap. • Extra-corporeal membrane oxygenation may be useful for tracheal repair. •Although rare, paraganglioma should be included in the differential diagnosis of an intra-thoracic membranous tracheal mass.•Upfront non-circumferential surgical resection of paraganglioma may be indicated.•Airway reconstruction can be performed using a latissimus dorsi flap.•Extra-corporeal membrane oxygenation may be useful for tracheal repair. Paraganglioma is a rare neuroendocrine tumor and may sometimes be located in the membranous part of the trachea. We report the case of a 52-year-old man presenting a paraganglioma just above the carina with obstructive symptoms. The patient successfully underwent a non-circumferential tracheal membranous resection, followed by latissimus dorsi muscle flap repair, under peripheral extra-corporeal membrane oxygenation (ECMO). Complex carinal resection can be avoided for tracheal membranous tumors and replaced with non-circumferential resection and direct reconstruction with a muscle flap. In addition, ECMO support may be used for airway resection and reconstruction. Tracheal membranous tumors can be managed without circumferential resection or direct anastomosis. |
| Author | Beigelman, Catherine Roumy, Aurélien Letovanec, Igor Wannaz, Laure Ris, Hans-Beat Gonzalez, Michel Lovis, Alban |
| AuthorAffiliation | a Service of Thoracic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland b Service of Cardiac Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland c Service of Pathology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland d Service of Pneumology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland e Service of Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland |
| AuthorAffiliation_xml | – name: b Service of Cardiac Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – name: e Service of Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – name: a Service of Thoracic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – name: c Service of Pathology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – name: d Service of Pneumology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland |
| Author_xml | – sequence: 1 givenname: Laure surname: Wannaz fullname: Wannaz, Laure organization: Service of Thoracic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – sequence: 2 givenname: Aurélien surname: Roumy fullname: Roumy, Aurélien organization: Service of Cardiac Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – sequence: 3 givenname: Igor surname: Letovanec fullname: Letovanec, Igor organization: Service of Pathology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – sequence: 4 givenname: Alban surname: Lovis fullname: Lovis, Alban organization: Service of Pneumology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – sequence: 5 givenname: Catherine surname: Beigelman fullname: Beigelman, Catherine organization: Service of Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – sequence: 6 givenname: Hans-Beat surname: Ris fullname: Ris, Hans-Beat organization: Service of Thoracic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland – sequence: 7 givenname: Michel orcidid: 0000-0001-8705-4279 surname: Gonzalez fullname: Gonzalez, Michel email: michel.gonzalez@chuv.ch organization: Service of Thoracic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland |
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| Cites_doi | 10.1016/j.athoracsur.2011.09.053 10.1016/j.athoracsur.2018.01.021 10.1016/j.ijsu.2016.08.014 10.2967/jnumed.114.137034 10.1016/j.beem.2010.04.001 10.1016/j.athoracsur.2013.06.064 10.1258/0022215011908838 10.2214/AJR.05.1116 10.1136/thx.51.3.341 10.1016/S0003-4975(03)01462-0 10.1002/jso.23643 |
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| Keywords | FDG PET-CT Extra-corporeal membranous circulation VA ECMO DLCO FEV1 Tracheal tumor Muscle flap |
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| References_xml | – volume: 77 start-page: 397 year: 2004 end-page: 404 ident: bib0045 article-title: Closure of large intrathoracic airway defects using extrathoracic muscle flaps publication-title: Ann. Thorac. Surg. contributor: fullname: Pasche – volume: 24 start-page: 415 year: 2010 end-page: 424 ident: bib0030 article-title: SDH-related pheochromocytoma and paraganglioma publication-title: Best Pract. Res. Clin. Endocrinol. Metab. contributor: fullname: Pacak – volume: 93 start-page: 1717 year: 2012 end-page: 1719 ident: bib0010 article-title: Tracheal paraganglioma: an unusual neoplasm of the upper airway publication-title: Ann. Thorac. Surg. contributor: fullname: Musani – volume: 115 start-page: 747 year: 2001 end-page: 749 ident: bib0020 article-title: Tracheal paraganglioma: a diagnostic dilemma culminating in a complex airway management problem publication-title: J. Laryngol. 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Oncol. doi: 10.1002/jso.23643 contributor: fullname: Shin |
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| Snippet | •Although rare, paraganglioma should be included in the differential diagnosis of an intra-thoracic membranous tracheal mass.•Upfront non-circumferential... Paraganglioma is a rare neuroendocrine tumor and may sometimes be located in the membranous part of the trachea. We report the case of a 52-year-old man... Paraganglioma is a rare neuroendocrine tumor and may sometimes be located in the membranous part of the trachea.INTRODUCTIONParaganglioma is a rare... • Although rare, paraganglioma should be included in the differential diagnosis of an intra-thoracic membranous tracheal mass. • Upfront non-circumferential... |
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| SubjectTerms | Extra-corporeal membranous circulation Muscle flap Tracheal tumor |
| Title | Non-circumferential membranous resection of the trachea for paraganglioma: A case report |
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